01 · Who Nancy works with

Nancy works with relationship issues, trauma and abuse and grief

Nancy lists 13 specialisms and 7 further focus areas. Specialisms are the subjects Nancy chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Nancy's own words

What Nancy says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

As a licensed therapist with extensive experience supporting individuals through complex life challenges, I bring a compassionate and nuanced approach to mental health care. My professional background focuses on helping clients navigate relationship dynamics, trauma recovery, mood disorders, and life transitions.

I specialize in working with diverse populations, including LGBTQ+ individuals and couples, neurodivergent clients, and adults. My therapeutic approach is rooted in understanding each person's unique journey, offering personalized support that honors individual experiences and cultural backgrounds.

Drawing from evidence-based practices as well as a Christian perspective, I create a supportive environment where clients can explore their emotions, develop healthy coping strategies, and build resilience. Whether you're addressing communication challenges, processing past trauma, or seeking personal growth, I'm committed to walking alongside you with empathy and professional expertise.

My practice welcomes individuals and couples seeking a thoughtful, affirming therapeutic experience that respects their personal values and goals. I approach each client relationship with deep respect, cultural sensitivity, and a genuine commitment to supporting your path toward healing and self-discovery.

Nancy Orlopp, on the BetterHelp listing · read 9 Oct 2026

03 · How Nancy works

The 7 approaches Nancy lists, in plain English

These are the clinical methods Nancy lists. The descriptions are Maker Therapy's, not Nancy's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Nancy runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Nancy practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Nancy's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Nancy at this point.

2. Naming Nancy specifically

   BetterHelp matches algorithmically by default, so asking for Nancy is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Nancy.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Nancy

Built from what Nancy actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Nancy's - Nancy has not seen them and is under no obligation to answer any of them.

• “You list both Dialectical Behaviour Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

New York

Licence

NY LCSW 098364

Licence number

098364

Licence expires

31 Aug 2027

NPI

1477034510

Years in practice

8

Gender

Female

Languages

English

International clients

Not accepted

Listed since

12 Jun 2026

07 · Provenance

Where every line on this page came from

Nancy's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Nancy. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.